Healthcare Provider Details

I. General information

NPI: 1588010599
Provider Name (Legal Business Name): GLOBAL HEALTH CHOICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2016
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2745 STATE ROAD 580 SUITE 101
CLEARWATER FL
33761-3359
US

IV. Provider business mailing address

2745 STATE ROAD 580 SUITE 101
CLEARWATER FL
33761-3359
US

V. Phone/Fax

Practice location:
  • Phone: 727-444-0995
  • Fax:
Mailing address:
  • Phone: 727-444-0995
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: USMAN EZAD
Title or Position: MANAGER
Credential:
Phone: 727-444-0995